All of the resources included in our patient safety resource centre have been reviewed by the Health Foundation and a team of patient safety experts. We believe them to be of the highest possible standard but we do not take responsibility for the accuracy of information from third parties.

In this thought paper, Blair Sadler and Kevin Stewart draw on experiences from their roles as chief executive of a children’s hospital in San Diego, California and as chief medical officer of a general hospital trust in the south of England

Author:

Listed under:

High reliability organisations are organisations that work in situations that have the potential for large-scale risk and harm, but which manage to balance effectiveness, efficiency and safety. They also minimise errors through teamwork, awareness of potential risk and constant improvement.

Listed under:

The NCEPOD report (2009) on Acute Kidney Injury (AKI) found 20% of post-admission AKIs were avoidable and only 50% of AKI care was considered 'good'. The DONUT bundle comprises of six interventions aimed at improving the management of AKI.

Author:

Listed under:

The aim of the project was to increase the number of patients returning to a ward post-surgery who receive a serum creatinine measurement within two days of their urological surgery, excluding day cases.

Author:

Listed under:

Describe the formation of a multidisciplinary collaborative network focused on AKI. Authors have proposed uniform standards for diagnosing and classifying AKI which will need to be validated in future studies. The Acute Kidney Injury Network offers a mechanism for proceeding with efforts to improve patient outcomes.